Which of the following laws, signed by President Clinton in 2000, gives electronic signatures the same legal status as handwritten signatures?
1. The Health Insurance Portability and Accountability Act (HIPAA)
2. The American Recovery and Reinvestment Act of 2009 (ARRA)
3. Medicare Improvements for Patients and Providers Act (MIPPA)
4. The Electronic Signatures in Global and National Commerce Act
4
Rationale: The Electronic Signatures in Global and National Commerce Act ("E-Sign or ESIGN") was signed into law by President Clinton on June 30, 2000. E-Sign gives electronic signatures the same legal status as handwritten signatures. From a legal perspective, this means that any contract signed electronically cannot be declared invalid on the basis of an electronic signature (Freeman, 2004).
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The school health nurse recognizes that children who display certain characteristics are at risk for poor school performance. Which would be most likely to cause poor school performance?
1. Decreased ability to perform visual tracking 2. Increased auditory stimulation 3. Increase muscle tone 4. Multiple dental caries
Which response by a nurse is most therapeutic in response to parents who are concerned that their child has been drawing sexually explicit pictures?
a. "Are you sure your child fully understood what it was that was being drawn?" b. "What did your child say when asked about why the drawings were made?" c. "Most children experiment with this type of behavior at a certain age.". d. "I will need your permission to speak directly with your child.".
The UN Millennium Summit in New York resulted in 189 nations adopting the Millennium Declaration. What was the primary commitment agreed upon at that meeting?
A. Adoption of eight specific environmental actions B. Elimination of poverty C. Maternal and infant health measures D. Safe water and sanitation
M.D. is a 50-year-old woman whose routine mammogram showed a 2.3-× 4.5-cm lobulated mass at the 3
o'clock position in her left breast. M.D. underwent a stereotactic needle biopsy and was diagnosed with infiltrating ductal carcinoma, estrogen receptor positive. The staging workup was negative for distant metastasis. Her final staging was stage IIB. She had a modified radical mastectomy with lymph node dissection. The sentinel lymph node and 4 of 16 lymph nodes were positive for tumor cells. An implanted port was placed during surgery. Describe the biopsy technique used to diagnose M.D.'s cancer.